Infrapopliteal Percutan Transluminal Angioplasty of Patients with TASC D Group Diabetic Foot Lesions According to the Transatlantic Inter-Society Consensus II

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

“…23 Similarly, limb salvage rates of between 68.8% and 93% within 12 months were achieved across the vast majority of studies. 4,17,19 Freedom from amputation as limb salvage improved, based on the angiosome model in a retrospective model, which was also demonstrated in a similar prospective study. 27,29 A meta-analysis demonstrated a significant improvement in limb salvage rates when direct angiosome-targeted angioplasty was performed (p<0.001).…”

“…In most studies included in this review, technical success ranged between 60.9 and 84.7%. 4,8,19 This is in contrast to a meta-analysis of infra-popliteal angioplasty, notably of the popliteal vessel and tibioperoneal trunk, which demonstrated a pooled technical success of 89.0%. 20 It becomes apparent that, while significant challenges present in directly treating angiosomes, some studies reported an ability to achieve technical success close to that of traditional infra-popliteal angioplasty.…”

“…The only factor negatively impacting on procedure's technical difficulty was an increase in the length of the occlusion being treated. 19 Lesion distribution can compound this and can compromise a successful outcome, particularly in the crural vessels. With multiple lesions throughout a single angiosome-supplying artery, the procedure becomes increasingly difficult technically, which may present as a limiting factor in achieving success.…”